Amava ngamnye omfazi wePolycystic Ovary Syndrome (i-PCOS) iyingqayizivele kuba akukho mabhinqa amabini anempawu ezifanayo. Iimvavanyo ezikhoyo ezikhoyo ngokuxilongwa kwePCOS zidibanisa ubuncinane ezimbini kwezi zinto zilandelayo:
1. Izihlandlo ezingekho phantsi okanye ezingekho
2. Iimpawu zezinto eziphilayo okanye ezibonakalayo ze-hyperandrogenism (high androgens) ngaphandle kweyonyango
3. Umtya weentlobo ezincinci kwi-ultrasound
Ukuhlolwa kweMpilo kunye neMbali yezoNyango
Ugqirha uya kufuna ukwenza uvavanyo olupheleleyo lomzimba kunye neplasvic. Uya kukhangela iimpawu zomzimba ze-orrogens eziphezulu kunye ne-testosterone njengento engavamile yokukhula kweenwele (ngokubhekiselele ebusweni, kwisisu esisiswini, emuva nangesifuba), i- acne , i- tags , i- tags , i- scdness yamadoda kunye ne-acanthosis yase-nigrican , amathanga, izibopho okanye i-vulva).
Xa ibhinqa lingaqhubi, ixesha elingekho okanye elingavumelekanga (ii-8 okanye imizuzu engaphantsi kwemihla ngonyaka), ngumqondiso wokuthi i-ovulation ayinakwenzeka kwaye ingabonisa i-PCOS. Ugqirha uzakuzama ukulawula ezinye iimeko ezingabangela ukuba kubekho ixesha elingenasigxina, njengesifo se- thyroid , i- hyperprolactinemia , i- Cushings syndrome okanye i- congenital adrenal hyperplasia . Kubalulekile ukuba uqaphele ukuba abafazi abane-PCOS bangaba nomjikelezo wenyanga ukuya kwinyanga kwaye babe ne-PCOS.
Ugqirha uza kukubuza malunga naziphi na iimpawu ezingavamile oye waziphawula, ngoko qiniseka ukukhankanya nayiphi na inkxalabo yakho.
Ukubhala uluhlu ngaphambi kokuhamba kunokukunceda ukhumbule iingongoma ezibalulekileyo ozibuzayo malunga. Uya kubuzwa malunga nexesha lokuya esikhathini; ukuba zihlala zihlala phi kunye nobude bexesha phakathi kwabo. Oku kunokukunceda ugqirha wakho ukuba azibone
Ultrasound Transvaginal
I -ultrasound engena ngapha nangapha iyakwenza okanye ayiqhutyelwe ukulawula i-PCOS.
Inkqubo ye-ultrasound ye-ultrasound igxininiswe ngaphakathi kwisini, evumela ugqirha ukuba ahlolisise izitho zokuzala aze abuke izinto ezingaqhelekanga. Ubungakanani be-endometrium bunokulinganiswa. I-criterium ye-PCOS ibandakanya ubukho be-12 okanye ngaphezulu kwezinto ezincinci (2 ukuya ku-9 mm). Amaxesha amaninzi ezi follicle zibizwa ngokuthi "ama-cyst". Kukho amaninzi amabhinqa anama-ovari angama-cystic ngaphandle kweempawu ze-hyperandrogenism, kunye nabasetyhini abaninzi abaye bafumanisa ukuba bane-PCOS abangenayo i-ovaries ye-cystic. Abanye oogqirha bafumana ukusetyenziswa kwe-ultrasound yangaphakathi kwintsholongwane engabalulekanga.
Imiphumela yeGazi
Okokugqibela, umsebenzi wegazi uya kuthathwa kakhulu. Ngaphandle kokuvavanywa kwe-hormonal, njenge-testosterone, ezinye i-hormone zesini kufuneka zihlolwe njenge-follicle evuselela i-hormone, i-hormone ye-luteinizing kunye neprolactin, ugqirha wakho unokuvavanya kwezinye iimeko ezinxulumene ne- cholesterol ephezulu kunye nokukhuseleka kwe-insulin . Uvavanyo olutsha lwegazi lwe-hormonal, ukhangele i- AMH (i-Anti-Mullerian Hormone) yesibini isetyenziswa ngamanye amagqirha njengethuluzi lokuxilonga ngokunjalo.
I-Endometrial Biopsy
I- biopsy ye-endometrial iyakwenziwa ukwenzela ukuba inqumle ukuba iisisu zakho ze-endometrial zisesikweni esifanelekileyo okanye uvavanyo lomdlavuza we-endometrial .
Lo mngcipheko wesifo somdlavuza we-endometrial ukwandiswa ngenani kunye nobude bexesha phakathi kwexesha elilahlekileyo. I-biopsy inokwenziwa kwiofisi yakho ugqirha kwaye ingenabuhlungu, nangona unokuba nobunzima obuncinane ngexesha le nkqubo. Inani elincinci leethambo lisuswe kwisibeletho sakho nge-catheter encinci efakwe kwi-cervix nakwi-uterus. Ezi zicubu zihlaziywa kumxholo wesijikelezo sakho kwaye zihlolwe ngamaseli omhlaza.
Yintoni elandelayo?
Nangona oku kungabonakala kunzima, khumbula ukuba awunabo. Njengengxaki ephezulu ye-endocrine phakathi kwabasetyhini bexesha lokubeletha, baninzi abafazi abane- PCOS abaye bafumana le nto.
Finyelela kwiqela leenkxaso kunye nabantu abakhathalelayo. Ukulandela isiluleko sakho sogqirha nokufunda ngesifo sakho yindlela efanelekileyo yokuyilawula.
Imithombo:
I-Grassi A. I-PCOS: Isikhokelo seDetethi. Inkcazelo yesi-2. Luca Publishing. UBryn Mawr, PA.
UJensen, uJani R. kunye noRuben Alvero. "Polycystic Ovarian Syndrome." I-Endocrinotic yokuzalisa nokungafihli: Iimfuneko kwi-Obstetrics ne-Gynecology. Ed. UMark Evans, MD. Philadelphia: Mosby, 2007. 65-75.